Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,923.17 / $10,152.00	Facility		$896.00	$1,923.17	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.51 / $1,592.18 / $1,923.17	Professional		$1,502.51	$1,592.18	$1,923.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,277.09 / $1,502.48 / $1,986.62	Professional		$1,277.09	$1,502.48	$1,986.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,552.81 / $2,131.32 / $2,458.62	Facility		$1,552.81	$2,131.32	$2,458.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,674.61 / $2,131.32 / $3,044.74	Professional		$1,674.61	$2,131.32	$3,044.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,884.60 / $1,884.60 / $1,884.60	Facility		$1,884.60	$1,884.60	$1,884.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,633.13 / $2,178.59 / $3,214.42	Professional		$1,633.13	$2,178.59	$3,214.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,432.79 / $2,204.31 / $2,966.02	Professional		$1,432.79	$2,204.31	$2,966.02